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Certified Pediatric Transport Nurse (CPTN) Practice Exam Questions And Correct Answers (Verified Answers) Plus Rationales 2025/2026 Q&A | Instant Download Pdf

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1. The primary goal during pediatric transport is to: A. Minimize transport crew workload B. Ensure rapid arrival at destination C. Maintain physiologic stability D. Reduce time spent on assessment Answer: C The primary objective is maintaining or improving the child’s physiologic stability throughout transport. 2. Which pediatric airway anatomical difference increases the risk of obstruction? A. Smaller occiput B. Larger tongue-to-mouth ratio C. Wider nasal passages D. More rigid trachea Answer: B Children have proportionally larger tongues, making them more prone to airway obstruction. 3. The most reliable method to confirm endotracheal tube placement in pediatric patients is: A. Chest rise B. Colorimetric CO₂ detector C. Continuous waveform capnography D. Breath sounds Answer: C Waveform capnography provides continuous, objective confirmation of ventilation. 4. A 5-year-old presents with bradypnea and poor respiratory effort. The first action is: A. Provide oxygen via non-rebreather B. Assist with bag-valve-mask ventilation

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Certified Pediatric Transport Nurse (CPTN) Practice
Exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A | Instant
Download Pdf
1. The primary goal during pediatric transport is to:
A. Minimize transport crew workload
B. Ensure rapid arrival at destination
C. Maintain physiologic stability
D. Reduce time spent on assessment
Answer: C
The primary objective is maintaining or improving the child’s
physiologic stability throughout transport.


2. Which pediatric airway anatomical difference increases the risk
of obstruction?
A. Smaller occiput
B. Larger tongue-to-mouth ratio
C. Wider nasal passages
D. More rigid trachea
Answer: B
Children have proportionally larger tongues, making them more
prone to airway obstruction.


3. The most reliable method to confirm endotracheal tube
placement in pediatric patients is:
A. Chest rise
B. Colorimetric CO₂ detector
C. Continuous waveform capnography
D. Breath sounds

,Answer: C
Waveform capnography provides continuous, objective confirmation
of ventilation.


4. A 5-year-old presents with bradypnea and poor respiratory
effort. The first action is:
A. Provide oxygen via non-rebreather
B. Assist with bag-valve-mask ventilation
C. Prepare for chest tubes
D. Start IV fluids
Answer: B
Inadequate effort requires immediate assisted ventilation, not
passive oxygen.


5. The pediatric Glasgow Coma Scale differs from adults mainly in
the:
A. Motor response
B. Eye response
C. Verbal response
D. Total score
Answer: C
The verbal section is modified for preverbal children.


6. The narrowest portion of the pediatric airway is the:
A. Vocal cords
B. Cricoid ring
C. Trachea
D. Oropharynx
Answer: A

, Modern evidence shows the glottic opening—not the cricoid—is the
narrowest point.


7. The best indicator of pediatric shock is:
A. Low blood pressure
B. Tachycardia
C. Mottled skin
D. Delayed capillary refill
Answer: B
Tachycardia appears early, while hypotension is a late, ominous sign.


8. During helicopter transport, the most significant hazard to
infants in incubators is:
A. Thermal instability
B. Vibration
C. Noise
D. Hypoxia
Answer: B
Vibration can affect equipment and infant stability.


9. In compensated pediatric shock, which finding is expected?
A. Hypotension
B. Bradycardia
C. Tachycardia with normal blood pressure
D. Decreased respiratory rate
Answer: C
Blood pressure remains normal until late shock.


10. The most common cause of pediatric cardiac arrest is:
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